Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2019-09-10
- Stop
- 2019-09-10
The parties
- Patient
- patient Janie Ranae Botsford
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
041efb3a-8e81-3ea8-0fa1-1dc5f66b89dd