Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1998-08-13
- Stop
- 1998-08-13
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Willette Hamill
- Payer
- payer Humana
Record id
102ec4ce-836b-a335-8989-b0bbacae8d97