Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2025-08-19
- Stop
- 2025-08-19
The parties
- Provider
- provider Michael Dibbert
- Payer
- payer Anthem
Record id
0c679929-acf6-f9c0-3e85-3f260fce343a