Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1955-10-20
- Stop
- 1955-10-20
The parties
- Provider
- provider Adrienne Hills
- Payer
- payer No insurance
Record id
049095f1-5bc1-9ce0-1ec1-a3cf8896a775