Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2013-04-13
- Stop
- 2013-04-13
The parties
- Patient
- patient Tresa Mamie McLaughlin
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
31d89ffd-eb48-8b87-4eae-09c277222892