Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2022-12-20
- Stop
- 2022-12-20
The parties
- Patient
- patient Cristobal Dana Wolf
- Provider
- provider Booker Armstrong
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
016cc0d6-9a88-e8dc-858a-8291730ff465