Claim total
$8,695.40
base $155.66 · payer covered $8,660.40
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-06-22
- Stop
- 2025-06-22
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Burton O'Conner
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-25a7-9081ea891f87