Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2023-12-20
- Stop
- 2023-12-20
The parties
- Patient
- patient Dominick Feil
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
16f18334-a896-57d3-6f2f-aafaa650d391