Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2022-05-21
- Stop
- 2022-05-21
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-2c4b-d8f8822dfe42