Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 2017-10-08
- Stop
- 2017-10-08
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Burton O'Conner
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-a3cb-d6cd27afc084