Claim total
$1,497.50
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1988-12-02
- Stop
- 1988-12-02
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
04384da7-7311-e99a-034f-667a68ba1fa8