Claim total
$10,141.83
base $155.66 · payer covered $10,106.83
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-08-31
- Stop
- 2025-08-31
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-5499-d63a9c481f51