Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2012-01-22
- Stop
- 2012-01-22
The parties
- Patient
- patient Selina Lang Harvey
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
32100ffd-85d3-f11c-85a2-98ed450b4f9b