Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1958-12-08
- Stop
- 1958-12-08
The parties
- Patient
- patient Julio Hayden Haag
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
36f895c5-cf8f-4086-0846-bccfbd5c99be