Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2015-05-26
- Stop
- 2015-05-26
The parties
- Patient
- patient Synthia Grady
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
33ff0b1a-8ac4-7085-a16f-8349c16f946c