Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2018-04-15
- Stop
- 2018-04-15
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
02579c91-f636-e7d1-39ab-c5304035f739