Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1968-11-27
- Stop
- 1968-11-27
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0130f9d2-4df9-4b02-7941-324e944b2100