Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2001-11-04
- Stop
- 2001-11-04
The parties
- Patient
- patient Abdul Tad Shields
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
3abc9350-f715-fbf6-a2c6-9ba36875bc1a