Claim total
$19,685.62
base $155.66 · payer covered $19,635.62
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2018-04-30
- Stop
- 2018-04-30
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Dale Mertz
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-4aea-84dd8a2b9730