Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1974-05-28
- Stop
- 1974-05-28
The parties
- Patient
- patient Moshe Danilo Schoen
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
12e72ee6-8b43-3f6b-fbda-142db00bd539