Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1994-07-03
- Stop
- 1994-07-03
The parties
- Patient
- patient Kittie Olevia Walter
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
178c01a3-2a21-ca97-2fe2-966396c5a30f