Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1995-05-13
- Stop
- 1995-05-13
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
02404bb7-0f7d-3a30-147d-e13e991169d8