Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1977-10-30
- Stop
- 1977-10-30
The parties
- Patient
- patient Bruce Oscar Rath
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
38d7b5e6-2762-29d7-2366-54fd123e5530