Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2011-05-09
- Stop
- 2011-05-09
The parties
- Patient
- patient Lanita Daysi Jast
- Provider
- provider Jo Stiedemann
- Payer
- payer Aetna
Record id
220bdd53-c919-6b71-dae2-e3103a23f8f5