Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1987-10-08
- Stop
- 1987-10-08
The parties
- Patient
- patient Maurice Palmer Stamm
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
2924da49-d719-85a1-3fa4-16348586ac79