Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Start
- 2024-09-18
- Stop
- 2024-09-18
The parties
- Patient
- patient Rudolph Bud Batz
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
02c734eb-6a05-b133-ae1c-473d21f0fdaf