Claim total
$15,134.96
base $155.66 · payer covered $15,099.96
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2025-01-04
- Stop
- 2025-01-04
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Burton O'Conner
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-e264-c8a6285aa49b