Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1988-07-26
- Stop
- 1988-07-26
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0095f26f-6c35-6a9c-149e-7f6524e73cf2