Claim total
$93.39
base $93.39 · payer covered $2.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Seasonal allergic rhinitis367498001
- Start
- 1976-06-17
- Stop
- 1976-06-17
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Gwenn Hermann
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00a2ce2f-1e05-ab20-d554-ae80bebe5b4d