Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2005-12-14
- Stop
- 2005-12-14
The parties
- Patient
- patient Hipolito Murray Harris
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0cc68655-22f2-d830-7274-b698b4683139