Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2001-02-02
- Stop
- 2001-02-02
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-09ff-80aaf5c5b2d1