Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1942-02-09
- Stop
- 1942-02-09
The parties
- Patient
- patient Louie Petrina Ziemann
- Provider
- provider Rebeca Lomeli
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
2db8ed08-2422-5c8b-3cd5-05821cd16888