Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-06-12
- Stop
- 2024-06-12
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Burton O'Conner
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-a865-8f15d861ad16