Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1994-01-30
- Stop
- 1994-01-30
The parties
- Patient
- patient Deidra Estell Ratke
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
24c555cb-8a8b-be81-96c6-a26ca8ea5eeb