Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1988-10-29
- Stop
- 1988-10-30
The parties
- Patient
- patient Rafael Adán Toro
- Provider
- provider Lindsay Russel
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
1f4dcbd7-f664-bb6e-500a-a8f0bc5ee6fd