Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Ambulatory
- Code
- 170838006
- Reason
- Allergic disposition609328004
- Start
- 2017-08-07
- Stop
- 2017-08-07
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Michael Dibbert
- Payer
- payer Medicare
Record id
03e24eff-3793-eaeb-981d-4a16b009548d