Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1996-05-04
- Stop
- 1996-05-04
The parties
- Patient
- patient Brent Collins
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2e1faf61-63f6-ea99-5d74-d6b27bb58708