Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2021-10-22
- Stop
- 2021-10-22
The parties
- Patient
- patient Denise Schowalter
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
26512a4e-567c-3d45-fb3c-a888c08a64a7