Claim total
$291.66
base $155.66 · payer covered $291.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-06-06
- Stop
- 2021-06-06
The parties
- Provider
- provider Belkis Blick
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
05f1dbc7-3ebc-37ee-d6a9-e5ce5d4b8f81