Claim total
$703.97
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2003-06-01
- Stop
- 2003-06-01
The parties
- Patient
- patient Terrance Derek Mueller
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
032e5f12-51a3-9303-f055-376574a343d4