Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1997-02-16
- Stop
- 1997-02-16
The parties
- Patient
- patient Louis Lowe
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0133e229-9af3-5afb-1031-59457e4d3426