Claim total
$17,221.69
base $155.66 · payer covered $17,186.69
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2026-02-12
- Stop
- 2026-02-12
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Leta Sipes
- Payer
- payer Dual Eligible
Record id
032000cf-30b4-7e9b-f536-da6ebd325250