Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1995-08-26
- Stop
- 1995-08-26
The parties
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2775f96d-5f87-38ff-1423-66de95f38dcb