Claim total
$3,034.76
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- diagnosis concept Diabetes mellitus type 244054006
- Start
- 2025-11-01
- Stop
- 2025-11-01
The parties
- Patient
- patient Arlen Schamberger
- Provider
- provider Cameron Sanford
- Payer
- payer No insurance
Record id
01ee9e96-5701-e5d2-0aa4-f99731fc1c1c