Claim total
$8,142.81
base $155.66 · payer covered $8,107.81
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-04-09
- Stop
- 2025-04-09
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Dale Mertz
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-6aed-9113bade3a07