Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1975-10-25
- Stop
- 1975-10-25
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Donette Hilpert
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
04510aef-c62e-a77f-7bfb-98e06f9e6b70