Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1995-11-17
- Stop
- 1995-11-17
The parties
- Patient
- patient Chris Julian Volkman
- Provider
- provider Jo Stiedemann
- Payer
- payer No insurance
Record id
2db43ca5-b371-7457-96af-e322c45a378e