Claim total
$1,665.59
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2002-03-30
- Stop
- 2002-03-30
The parties
- Patient
- patient Leroy Donald Kuvalis
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
12ff2bdf-30d7-88b6-3a84-55e3e2d9dadf