Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1978-01-19
- Stop
- 1978-01-19
The parties
- Patient
- patient Susanne Jenna Hahn
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
0ba36fae-b9a3-10c0-34d6-f0d29ecb984d