Claim total
$566.96
base $155.66 · payer covered $396.87
The visit
- Class
- Ambulatory
- Code
- 170838006
- Reason
- Allergic disposition609328004
- Start
- 2017-08-14
- Stop
- 2017-08-14
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Burton O'Conner
Record id
00cb11fd-f3f7-0950-1f2f-e5fcc7929dcc