Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2004-10-04
- Stop
- 2004-10-04
The parties
- Patient
- patient Major Harvey Feil
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
3b028f50-fd2a-d778-6d61-d86ce18c0fc9