Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1989-06-06
- Stop
- 1989-06-06
The parties
- Patient
- patient Heath Cleo Dicki
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1d824c5f-111e-26ef-f9d9-0f3192c687fe