Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Quintin Alton Blick
- Provider
- provider Willette Hamill
- Payer
- payer Humana
Record id
0c6b5cef-579a-b2bd-eace-57f7d44fe084