Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1962-08-01
- Stop
- 1962-08-01
The parties
- Patient
- patient Freeman Winfred Erdman
- Provider
- provider Michael Dibbert
- Payer
- payer No insurance
Record id
17dd8403-c3e7-454f-a09c-faa81c6d53f2