Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2001-05-04
- Stop
- 2001-05-05
The parties
- Patient
- patient Evita Maisha Lynch
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
398f86ea-3862-555e-f589-8004882fe06e