Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1998-03-08
- Stop
- 1998-03-08
The parties
- Patient
- patient Justin Kutch
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2d349c99-8b99-b208-7934-51084011f788