Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2012-02-23
- Stop
- 2012-02-23
The parties
- Patient
- patient Milagros Murray
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
1e230a6d-bb0b-cca4-c02d-57543a6e0880