Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1975-10-11
- Stop
- 1975-10-11
The parties
- Patient
- patient Ardell Balistreri
- Provider
- provider Hassie Beer
Record id
225082dc-9ef3-4a84-3316-1271f31ffb56