Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1947-10-01
- Stop
- 1947-10-01
The parties
- Patient
- patient Otis Jed Price
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1d8b9eda-b86e-378b-bb81-5cb59a097f0d