Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 1987-01-05
- Stop
- 1987-01-05
The parties
- Patient
- patient Maybelle Pansy Buckridge
- Provider
- provider Myriam Gislason
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2db4e680-0037-4778-ed7c-4381dd14318a