Claim total
$19,685.62
base $155.66 · payer covered $19,650.62
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-06-13
- Stop
- 2026-06-13
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-451e-3e417d99d89e