Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2018-09-21
- Stop
- 2018-09-21
The parties
- Patient
- patient Ferdinand Kasey Ernser
- Provider
- provider Willette Hamill
- Payer
- payer Medicaid
Record id
062e401f-723c-d87d-53b9-0eef64b31424