Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1984-11-14
- Stop
- 1984-11-14
The parties
- Patient
- patient Dawne Brett Parker
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
32cc0b83-f353-e71c-6398-f512f8668edc