Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1979-01-15
- Stop
- 1979-01-15
The parties
- Patient
- patient Hanh Tyisha Purdy
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2f6994a4-a6fb-f981-5ca1-3fd6d3298deb