Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1964-05-19
- Stop
- 1964-05-19
The parties
- Patient
- patient Kelley Bradtke
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2237710c-939d-74db-843c-017dfceac797