Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2013-01-13
- Stop
- 2013-01-13
The parties
- Patient
- patient Carley Vicenta Kohler
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
2f52c894-2678-f09a-e49b-e194ba38d990