Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 1990-01-03
- Stop
- 1990-01-03
The parties
- Patient
- patient Major Chris Schumm
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
3b7de93d-a1b1-5888-0bed-df255048b08a