Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2026-08-14
- Stop
- 2026-08-14
The parties
- Patient
- patient Linn Davida Ward
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
2bf1adc4-5c52-b387-5059-9792898ab4b6