Claim total
$19,685.62
base $155.66 · payer covered $19,685.62
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-12-10
- Stop
- 2025-12-10
The parties
- Patient
- patient Temple Joe Beer
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
031e9e86-1ff9-e433-d83f-d9155557a7a3