Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-10-02
- Stop
- 2024-10-02
The parties
- Patient
- patient Brittanie Aida Volkman
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
1c8ae97c-1916-d81f-0da4-5d0d82f67c23