Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1996-01-11
- Stop
- 1996-01-11
The parties
- Patient
- patient Camellia Balistreri
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
0a7ebdbd-4c3a-07d2-ec4f-4188a3f326e2