Claim total
$8,536.97
base $155.66 · payer covered $8,486.97
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2018-12-04
- Stop
- 2018-12-04
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-62a2-ad75a9369b1e