Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1969-08-23
- Stop
- 1969-08-23
The parties
- Patient
- patient Zulema Eloisa Kunde
- Provider
- provider Leta Sipes
- Payer
- payer No insurance
Record id
2e0c5db6-de77-c14a-9755-698a62020ac6