Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1994-01-02
- Stop
- 1994-01-02
The parties
- Patient
- patient Marshall Rochel Jacobi
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
38cca9f9-b0e8-26ef-29d6-60b9936a701b