Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2006-09-23
- Stop
- 2006-09-23
The parties
- Patient
- patient Darryl Rosendo Johnston
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
37d59dbe-6090-c49b-1df2-2c17b0ab7e8f