Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-04-07
- Stop
- 1990-04-07
The parties
- Patient
- patient Kareem Beer
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
1295a2c8-248a-fa48-d8f5-9b0a3331a6b1