Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2004-04-02
- Stop
- 2004-04-02
The parties
- Provider
- provider Willette Hamill
- Payer
- payer No insurance
Record id
2b96d0b0-d6ca-498b-815b-a2854dfeabb8