Claim total
$2,073.59
base $93.39 · payer covered $1,254.92
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2012-04-10
- Stop
- 2012-04-10
The parties
- Patient
- patient Teodoro Watsica
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
377468ea-eae6-c638-9cc5-31321a590512