Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1936-06-15
- Stop
- 1936-06-15
The parties
- Patient
- patient Leigha Sharleen Champlin
- Provider
- provider Willette Hamill
- Payer
- payer Medicaid
Record id
2f4e5dee-d991-4c97-854d-86b134d827a1