Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1985-01-21
- Stop
- 1985-01-21
The parties
- Patient
- patient Merna Valrie Rutherford
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
303b4bc9-8e43-bda6-aef2-afc626a30352