Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1962-06-07
- Stop
- 1962-06-07
The parties
- Patient
- patient Edwardo Baumbach
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
10e41b04-0f54-fb52-01e3-edc81d1cbe73