Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1999-04-16
- Stop
- 1999-04-16
The parties
- Patient
- patient Zada Clair Kovacek
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
10c7f1c8-ab80-e90a-7b56-1e0b039f4e60