Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1995-05-25
- Stop
- 1995-05-25
The parties
- Patient
- patient Grazyna Michele Walker
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2f9e540c-0591-eff5-b189-d6a43ad175a4