Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2006-12-06
- Stop
- 2006-12-06
The parties
- Patient
- patient Tosha Lorie Welch
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
2c9d7a25-c461-e460-9bed-93369bfeacf3