Claim total
$19,685.62
base $155.66 · payer covered $19,650.62
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-05-06
- Stop
- 2025-05-06
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Leta Sipes
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-c9ad-44ee55c20526