Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1925-01-09
- Stop
- 1925-01-09
The parties
- Patient
- patient Adolph Junior Crist
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
3672386e-ce21-51ce-b7dc-9b6ce4208b18