Claim total
$776.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1987-03-26
- Stop
- 1987-03-27
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
003012ce-f819-e17b-149e-885cb8b52c65