Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1976-08-31
- Stop
- 1976-08-31
The parties
- Patient
- patient Takako Harriett Toy
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
19003a8c-29a0-fc7b-79e6-6fa860189402