Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1990-02-06
- Stop
- 1990-02-06
The parties
- Patient
- patient Marcellus Avery Rau
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
261baccc-fb99-50da-25b5-ab5c7963a818