Claim total
$219.95
base $93.39 · payer covered $184.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2022-10-13
- Stop
- 2022-10-13
The parties
- Patient
- patient Olympia Heathcote
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
3577a267-6e0f-9250-f9ed-eed0a7b33275