Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1984-04-06
- Stop
- 1984-04-06
The parties
- Patient
- patient Brendan Kasey Hettinger
- Provider
- provider Willette Hamill
- Payer
- payer Humana
Record id
0d09b896-2873-86dc-2fc8-e715cc53a823