Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1982-07-07
- Stop
- 1982-07-07
The parties
- Patient
- patient Shira Taylor O'Connell
- Provider
- provider Hassie Beer
- Payer
- payer UnitedHealthcare
Record id
2a8f629a-4321-59c6-35ed-70c4b22846f0