Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2021-05-22
- Stop
- 2021-05-22
The parties
- Patient
- patient Mary Jerrell Gerhold
- Provider
- provider Irmgard Padberg
- Payer
- payer Humana
Record id
1d5d376c-aeb6-f53a-e1c0-2161134b0be9