Claim total
$14,568.88
base $155.66 · payer covered $14,568.88
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2023-07-08
- Stop
- 2023-07-08
The parties
- Patient
- patient Temple Joe Beer
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
031e9e86-1ff9-e433-8fc6-215d4015ab66