Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2016-11-22
- Stop
- 2016-11-22
The parties
- Patient
- patient Eduardo Hugo Salas
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
368bd39f-60e1-6930-8c3b-5eddc18382e6