Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1985-04-26
- Stop
- 1985-04-26
The parties
- Patient
- patient Hyman Alfred Conroy
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
22a118a1-9bf6-cbe9-511c-d29cb6b6b874