Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1994-02-17
- Stop
- 1994-02-17
The parties
- Patient
- patient Toney Jerrold Thiel
- Provider
- provider Jo Stiedemann
- Payer
- payer Humana
Record id
20a5801b-111d-378f-177d-9b8f29f7cd59