Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2002-05-10
- Stop
- 2002-05-10
The parties
- Patient
- patient Adán Pablo Acevedo
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2f74ae9b-159c-cd65-2477-42b526a28823