Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2023-04-29
- Stop
- 2023-04-29
The parties
- Patient
- patient Trudy Olene Boyle
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
224e317b-5fe3-18df-1717-9ee87448f364