Claim total
$5,038.15
base $155.66 · payer covered $376.70
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2017-07-23
- Stop
- 2017-07-23
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-78b3-2e817ff335fc