Claim total
$5,132.50
base $155.66 · payer covered $5,132.50
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2017-05-03
- Stop
- 2017-05-03
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Irmgard Padberg
Record id
00cb11fd-f3f7-0950-b597-c5cbfe271ee1