Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1968-12-11
- Stop
- 1968-12-11
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0130f9d2-4df9-4b02-5635-0b54ed3ceee2