Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1998-09-11
- Stop
- 1998-09-11
The parties
- Patient
- patient Johnson Mark Eichmann
- Provider
- provider Dale Mertz
Record id
129d6e6d-9226-87d7-559d-bc3fe651c340