Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1979-07-19
- Stop
- 1979-07-19
The parties
- Patient
- patient Milo Noble O'Conner
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2cce442b-b013-2e8d-a612-68f26b48407c