Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1970-06-26
- Stop
- 1970-06-26
The parties
- Patient
- patient Cassi Latoya Hilpert
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
11c79940-311a-7715-10c8-2c13c585902e