Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1924-08-17
- Stop
- 1924-08-17
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0095f26f-6c35-6a9c-9692-b1ced9c4f3dc