Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1988-03-25
- Stop
- 1988-03-25
The parties
- Patient
- patient Ashton Hisako Jaskolski
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2b9209bc-5607-5ae5-37df-5c9ccf2b557d