Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2020-11-04
- Stop
- 2020-11-04
The parties
- Patient
- patient Jaime Octavio Hinojosa
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2d008caa-3929-a668-13e5-2eb30a23d0c0