Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 2012-06-14
- Stop
- 2012-06-14
The parties
- Patient
- patient Eddy Garland Morar
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0c6407eb-c959-7ed3-2811-cfb5e213c860