Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2026-01-21
- Stop
- 2026-01-21
The parties
- Patient
- patient Julieann Alvera Botsford
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
0f236ebf-715e-330b-e1ff-d00234be57f7