Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2009-03-12
- Stop
- 2009-03-12
The parties
- Patient
- patient Magali Letty Pouros
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
0ed551f1-148d-ca02-a527-b89f4ed1e84a