Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1962-09-26
- Stop
- 1962-09-26
The parties
- Patient
- patient Donita Kasandra Crooks
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
277f7208-da9a-7c08-6a7b-6c25bcf7cd21