Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2024-08-10
- Stop
- 2024-08-10
The parties
- Patient
- patient Maximo Keenan Hane
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1cfe24fb-8d11-3471-a925-8e20f2cfdbac