Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1963-07-15
- Stop
- 1963-07-15
The parties
- Patient
- patient Hermine Zoraida Turcotte
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
07a18d8f-61ab-0a69-521d-d12207087616