Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1944-07-01
- Stop
- 1944-07-01
The parties
- Patient
- patient Augustus Lyman Schmitt
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
11e13b06-cce6-c88c-0d63-edbdeb1cc219