Claim total
$5,038.15
base $155.66 · payer covered $5,038.15
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2016-10-20
- Stop
- 2016-10-20
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-7973-e4dc9fc8b1f6