Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1981-10-22
- Stop
- 1981-10-22
The parties
- Patient
- patient Earl Jerome Schmidt
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0d968990-4e91-8a45-3066-d5e881f5efcb