Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2020-03-03
- Stop
- 2020-03-03
The parties
- Patient
- patient Winford Hector Johnston
- Provider
- provider Ozella Goodwin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
20f1c08f-f88f-5656-8fcf-6128ec4ca9cd