Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1924-06-22
- Stop
- 1924-06-22
The parties
- Patient
- patient Fredrick Vito Pagac
- Provider
- provider Jonas Pouros
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
18ec6897-232a-8579-5cee-1bd399a08c5f