Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1970-10-13
- Stop
- 1970-10-13
The parties
- Patient
- patient Jone Rae Hilpert
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
06668488-9bc5-0bda-6b17-a6fa1dd72cd5