Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2007-07-26
- Stop
- 2007-07-26
The parties
- Patient
- patient Keven Pouros
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
35738f47-113e-1cfd-273a-28aa06cca671