Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2011-03-18
- Stop
- 2011-03-18
The parties
- Patient
- patient Cristobal Dana Wolf
- Provider
- provider Malena Wilderman
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
016cc0d6-9a88-e8dc-2594-5e74284fda41