Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2001-12-02
- Stop
- 2001-12-02
The parties
- Patient
- patient Aletha Quinn Littel
- Provider
- provider Trinity Mraz
- Payer
- payer No insurance
Record id
381f3736-3813-7483-fd30-df40ffce147f