Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1998-06-13
- Stop
- 1998-06-13
The parties
- Patient
- patient Eliseo Laverne Nader
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
2c167999-289d-95fa-1e2f-37371b352fc4