Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1995-06-23
- Stop
- 1995-06-23
The parties
- Patient
- patient Ezra Byron Schaden
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
34aa3e64-c42a-515e-e1bf-1f7568e70695