Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1976-06-09
- Stop
- 1976-06-09
The parties
- Patient
- patient Cleopatra Bechtelar
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
2ac52291-c2c9-0ab9-b063-06a15a78ddcb