Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1984-10-11
- Stop
- 1984-10-11
The parties
- Patient
- patient Dalton Hilario Miller
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
1d6fb3af-6570-683b-e13d-2a1823ed7215