Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-06-13
- Stop
- 2024-06-13
The parties
- Patient
- patient Eddy Garland Morar
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0c6407eb-c959-7ed3-9edc-869328397fcb