Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1969-05-27
- Stop
- 1969-05-27
The parties
- Patient
- patient Sun Katie Cartwright
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1c24f7dc-185e-7419-40a7-76b62b6a5c4b