Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2001-07-26
- Stop
- 2001-07-26
The parties
- Patient
- patient Stuart Bennie Torp
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
12b83633-7c2e-6812-d4ef-f2471b51ed16