Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1961-12-14
- Stop
- 1961-12-14
The parties
- Patient
- patient Clara O'Conner
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0f6ac757-f138-648f-7e43-9451c5a3bebf