Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2023-12-17
- Stop
- 2023-12-17
The parties
- Patient
- patient Rene Braun
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
19754690-fe19-5759-6a8a-6714ca24f05c