Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2003-10-14
- Stop
- 2003-10-14
The parties
- Patient
- patient Raul Dooley
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
2dcc7333-1d20-9674-5947-826f97d6d0ed