Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2013-09-11
- Stop
- 2013-09-11
The parties
- Patient
- patient Maurice Lazaro Quitzon
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
341fd27b-4f29-bb85-7879-bd890595ac3e