Claim total
$972.90
base $93.39 · payer covered $778.31
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-11-20
- Stop
- 2019-11-20
The parties
- Patient
- patient Latasha Crist
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0fc193c9-8970-9d72-2250-49d47da7bc0d