Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2020-08-27
- Stop
- 2020-08-27
The parties
- Patient
- patient Nichol Paulina White
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
16c6292b-d99e-90c5-0c7a-a461b81d477a