Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1995-05-19
- Stop
- 1995-05-19
The parties
- Patient
- patient Andrea Chris Lebsack
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1759b87f-1a83-c024-94d0-b8a330f8ea6a