Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1996-05-02
- Stop
- 1996-05-02
The parties
- Patient
- patient Hilario Cummings
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
33fa4f73-1ac9-30f9-5518-aee3e1824c0a