Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1975-02-09
- Stop
- 1975-02-09
The parties
- Patient
- patient Wallace Satterfield
- Provider
- provider Willette Hamill
- Payer
- payer No insurance
Record id
10d1a759-f6f4-0e89-7d5a-59c4c4362753