Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2024-06-29
- Stop
- 2024-06-29
The parties
- Patient
- patient Milagros Murray
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
1e230a6d-bb0b-cca4-aafa-080617ce8207