Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1965-11-29
- Stop
- 1965-11-29
The parties
- Patient
- patient Ines Shiloh Jacobi
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
Record id
25075e04-8a2f-41db-fda7-bff16e5a642f