Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1973-11-25
- Stop
- 1973-11-25
The parties
- Patient
- patient Nikole Hettie Lindgren
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
0c802ecb-6a4c-64b7-fbaf-1889cd005fae