Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Major depression, single episode36923009
- Start
- 1962-07-14
- Stop
- 1962-07-14
The parties
- Patient
- patient Elwood Eduardo Crooks
- Provider
- provider Lynelle Ankunding
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10be41c6-8ca0-2da8-5e53-f325c88d0a71