Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1986-12-12
- Stop
- 1986-12-12
The parties
- Patient
- patient Javier Donovan Torphy
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
2df05dbe-6166-48bd-0714-9aa3f89af8b7