Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2024-02-19
- Stop
- 2024-02-19
The parties
- Patient
- patient Mac Lauren Morissette
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
10d61ecc-f956-efa2-9ee9-f8631dda6a9b