Claim total
$6,800.59
base $155.66 · payer covered $6,765.59
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-07-19
- Stop
- 2025-07-19
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-07e7-77005e4cd73f