Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1994-11-13
- Stop
- 1994-11-13
The parties
- Patient
- patient Lon Jenkins
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
21be898a-3bf9-dfe6-7d89-f10c12598286