Claim total
$566.96
base $155.66 · payer covered $531.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-11-22
- Stop
- 2024-11-22
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Harold Hagenes
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-3c99-59333752407e