Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1988-09-17
- Stop
- 1988-09-17
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
043d6e13-0cc7-07f3-851d-a79f448363ac