Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2010-10-31
- Stop
- 2010-10-31
The parties
- Patient
- patient Carolina Mayte Rael
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2abfba6d-130d-6d06-60a6-62f62dfe07ef