Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2023-08-17
- Stop
- 2023-08-17
The parties
- Patient
- patient Desirae Torp
- Provider
- provider Irmgard Padberg
- Payer
- payer Humana
Record id
2f2c59ee-5dff-cb7f-12f6-4981e9ec9fe3