Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1989-08-30
- Stop
- 1989-08-30
The parties
- Patient
- patient Tamara Tawny Stroman
- Provider
- provider Viviana Aufderhar
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
1b14600d-3645-9b36-8a5f-a596723eb039