Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1992-11-12
- Stop
- 1992-11-12
The parties
- Patient
- patient Brent Alphonso Anderson
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
22ede6cf-a1da-266b-0950-a7d6139c2197