Claim total
$11,097.28
base $155.66 · payer covered $11,062.28
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-11-18
- Stop
- 2025-11-18
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Jo Stiedemann
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-133b-8420bed45057