Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2016-08-21
- Stop
- 2016-08-21
The parties
- Provider
- provider Willette Hamill
- Payer
- payer Medicaid
Record id
014b9cfb-a71a-d032-baeb-d49c96a9e4cd