Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1980-02-22
- Stop
- 1980-02-22
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
05317da0-053c-0c68-afd6-0b07bc548878