Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1977-09-17
- Stop
- 1977-09-17
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
226e0527-4c40-2548-34ee-0dfb84faf056