Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2021-01-15
- Stop
- 2021-01-15
The parties
- Patient
- patient Delinda Patrica Turner
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
073748e8-f10b-2b62-a758-c9a031d77b11