Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1982-06-15
- Stop
- 1982-06-15
The parties
- Patient
- patient Luz Virginia Barrios
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
17b8c9a8-0395-78a7-121f-dd092f9d89cf