Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1998-07-19
- Stop
- 1998-07-19
The parties
- Patient
- patient Jeramy Diego Keebler
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
024ea619-fff0-c0e8-f474-d5db5a507f6b