Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1994-02-11
- Stop
- 1994-02-11
The parties
- Patient
- patient Robert Lavern Schaefer
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
335b9834-6d45-11e5-1ff0-03c95f48e3ce