Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1990-07-16
- Stop
- 1990-07-16
The parties
- Patient
- patient Andrea Buford Ruecker
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2c09d208-cc81-0c59-09e2-b9023299b744