Claim total
$5,194.58
base $155.66 · payer covered $5,159.58
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-03-07
- Stop
- 2026-03-07
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Leta Sipes
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-9596-21844d1e17be