Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2006-01-07
- Stop
- 2006-01-07
The parties
- Patient
- patient Elenore Astrid Ryan
- Provider
- provider Byron Gerhold
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2b192cee-fe62-521f-c302-a7a0392a388b