Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1993-11-29
- Stop
- 1993-11-29
The parties
- Patient
- patient Lonnie Larkin
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
23b2f8e1-4868-fc1e-be22-f0b89b6795b5