Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1987-02-05
- Stop
- 1987-02-05
The parties
- Patient
- patient Warren Jacob McLaughlin
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
28f7ea40-8571-3254-7dd5-f43d3ef250b5