Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1947-08-23
- Stop
- 1947-08-23
The parties
- Patient
- patient Francine Ziemann
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1f94a255-3b6e-f1dc-06a9-28d7683d1403