Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1971-11-27
- Stop
- 1971-11-27
The parties
- Patient
- patient Freddy Stewart Gorczany
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
22e9c711-e56d-c784-d1cc-d40ff044d845