Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2006-08-15
- Stop
- 2006-08-15
The parties
- Patient
- patient Kieth Ron Mertz
- Provider
- provider Harold Hagenes
- Payer
- payer Cigna Health
Record id
0f52457a-32da-8b47-bfbe-c934ffbce18b