Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1967-01-21
- Stop
- 1967-01-21
The parties
- Patient
- patient Ike Branden Moore
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2d876bca-be8f-2e05-be31-4db3538df8ce