Claim total
$566.96
base $155.66 · payer covered $267.17
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2016-08-09
- Stop
- 2016-08-09
The parties
- Provider
- provider Willette Hamill
- Payer
- payer Medicare
Record id
2b96d0b0-d6ca-498b-5aaa-77c3ee07970d