Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1975-10-04
- Stop
- 1975-10-04
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Byron Gerhold
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
04510aef-c62e-a77f-60ea-5185c71c0cd9