Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1962-11-20
- Stop
- 1962-11-20
The parties
- Patient
- patient Randa Deloris Kassulke
- Provider
- provider Willette Hamill
- Payer
- payer No insurance
Record id
3305d82e-693f-73b2-79df-85ed7f83b408