Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2009-06-26
- Stop
- 2009-06-26
The parties
- Patient
- patient Eldon Clement Reichert
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
068939a5-a4b3-fcd4-3d42-e4dae52f81a8