Claim total
$1,390.57
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1994-10-08
- Stop
- 1994-10-08
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
00a2ce2f-1e05-ab20-2460-d3919017fdf2