Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1957-02-22
- Stop
- 1957-02-22
The parties
- Patient
- patient Floyd Jarvis Dooley
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
12286c1e-ee5b-ddc5-41c3-6a30237fff53