Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1994-04-17
- Stop
- 1994-04-17
The parties
- Patient
- patient Charlyn Welch
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
08bd0418-52a9-c1b8-f125-cb0bb406c37d