Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1997-02-07
- Stop
- 1997-02-07
The parties
- Patient
- patient Horace Isaac King
- Provider
- provider Michael Dibbert
- Payer
- payer No insurance
Record id
313a5994-1cdb-4eec-7d9c-ae7c9e3cf0f8