Claim total
$8,559.19
base $155.66 · payer covered $8,509.19
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2018-12-25
- Stop
- 2018-12-25
The parties
- Patient
- patient Cecil Norberto Franecki
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
05e47734-a2d3-8a46-8921-e82deb23b5b3