Claim total
$3,546.90
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Fetus with chromosomal abnormality267253006
- Start
- 1981-11-12
- Stop
- 1981-11-12
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
000287f5-a0d8-f77b-92a8-0d31c60609a8