Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1983-01-10
- Stop
- 1983-01-10
The parties
- Patient
- patient Shella Pouros
- Provider
- provider Willette Hamill
- Payer
- payer No insurance
Record id
09ffc488-8762-3b8e-23c7-ab6131f30fc9