Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1978-01-27
- Stop
- 1978-01-27
The parties
- Patient
- patient Trevor Darrick Legros
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
216fad95-7533-5170-307e-4df00769edb3