Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-01-31
- Stop
- 2024-01-31
The parties
- Patient
- patient Leonel Hane
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
16fca4d9-de7b-1ffb-de17-6c70f5bde480