Claim total
$915.71
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-04-10
- Stop
- 1990-04-10
The parties
- Patient
- patient Tereasa Quigley
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
1fa9953f-bec7-471e-7dc2-edd61f383e4a