Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1979-05-05
- Stop
- 1979-05-05
The parties
- Patient
- patient Bruce Zachariah Green
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
09104096-b6f3-23d7-2980-02f90c11097c