Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1947-09-04
- Stop
- 1947-09-04
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00eec58c-8547-4a29-7231-fbb22dc25e86