Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1981-04-04
- Stop
- 1981-04-04
The parties
- Patient
- patient Martín Ramón Chacón
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
0b2edf0d-f30f-28e2-2550-aef9982ce69e