Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1985-03-09
- Stop
- 1985-03-09
The parties
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
23b6a44e-c511-6e76-1252-25d07b0924ea