Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1985-06-09
- Stop
- 1985-06-09
The parties
- Patient
- patient Chana Jung Kuhlman
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
0b9ae72a-4873-5d31-c199-a79e1bb80292