Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1999-09-01
- Stop
- 1999-09-01
The parties
- Patient
- patient Justin Hai Altenwerth
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
0eb7ef7b-4862-efa5-7c84-e51549f735c5