Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1967-12-31
- Stop
- 1967-12-31
The parties
- Patient
- patient Kathy Adelaide Pollich
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
35bae7db-0bec-c432-244e-191acbb14a6c