Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2020-04-12
- Stop
- 2020-04-12
The parties
- Patient
- patient Andree Marlyn Fisher
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
07dee941-9b7c-029e-e390-9af4c7a10539