Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1971-08-23
- Stop
- 1971-08-23
The parties
- Patient
- patient Leilani Melany Kuvalis
- Provider
- provider Kiyoko Predovic
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
222da595-6329-b84e-39e0-ed0ead6b2bb2