Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1986-11-29
- Stop
- 1986-11-29
The parties
- Patient
- patient Kareen Pfeffer
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
14e28a38-73f9-f96b-b762-2003e9546a33