Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1954-01-13
- Stop
- 1954-01-13
The parties
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0ed67a32-bd3f-abe0-5df3-554c909b39a5