Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2017-02-26
- Stop
- 2017-02-26
The parties
- Patient
- patient Eldon Clement Reichert
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
068939a5-a4b3-fcd4-fd2b-778e27d41e0a