Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1973-06-01
- Stop
- 1973-06-01
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
00a2ce2f-1e05-ab20-c15c-3f9a7a6ee502