Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2023-06-11
- Stop
- 2023-06-11
The parties
- Patient
- patient Jamison Spencer
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
322af8b2-a1f4-5e36-5781-fbdeeeb9cfb2