Claim total
$13,011.43
base $155.66 · payer covered $13,011.43
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 1993-03-05
- Stop
- 1993-03-05
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-351d-97b1e9692665