Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1987-11-13
- Stop
- 1987-11-13
The parties
- Patient
- patient Mitchel Branden Kunze
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
08ee5aea-ab9e-f3a0-6618-527817d14545