Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1973-11-09
- Stop
- 1973-11-09
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
007e08f5-37d5-91e8-b39b-e8cc694cbad4