Claim total
$8,116.35
base $155.66 · payer covered $8,081.35
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-01-16
- Stop
- 2026-01-16
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Jo Stiedemann
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-01ac-03ba096a5b66