Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1971-03-26
- Stop
- 1971-03-26
The parties
- Patient
- patient Darryl Dorsey Padberg
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
25ff6d03-239a-5c83-6969-6b47dc3fd031