Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2009-04-17
- Stop
- 2009-04-17
The parties
- Patient
- patient Bobby Walter Rowe
- Provider
- provider Willette Hamill
- Payer
- payer UnitedHealthcare
Record id
340d6d1c-e156-2a6a-65f5-f365693cbed2