Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1995-10-02
- Stop
- 1995-10-02
The parties
- Patient
- patient Ewa O'Keefe
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
39c86adc-532d-71c6-fcbf-2216deb72973