Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 2002-02-13
- Stop
- 2002-02-13
The parties
- Patient
- patient Winifred Lelah Zulauf
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
1422a51d-cc3d-7733-3d9c-acd2caa1f2c4