Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1976-08-30
- Stop
- 1976-08-30
The parties
- Patient
- patient Jovan Isabel Okuneva
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
0ad0b04b-62fb-fe8a-c3e6-c34981850b19