Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1986-08-01
- Stop
- 1986-08-01
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-c771-8255d8c58e7b