Claim total
$6,713.69
base $155.66 · payer covered $6,663.69
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2019-10-27
- Stop
- 2019-10-27
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-1b9d-ad2e69e5a419