Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Start
- 2022-02-02
- Stop
- 2022-02-02
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-3d84-3cabbc9d1bd0