Claim total
$5,038.15
base $155.66 · payer covered $5,003.15
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-03-13
- Stop
- 2025-03-13
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Leta Sipes
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-20d8-149def1c869e