Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 2012-07-24
- Stop
- 2012-07-24
The parties
- Patient
- patient Brittanie Aida Volkman
- Provider
- provider Kiyoko Predovic
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
1c8ae97c-1916-d81f-8b11-6ee0867554b3