Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Perennial allergic rhinitis446096008
- Start
- 1980-02-13
- Stop
- 1980-02-13
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Gwenn Hermann
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
05317da0-053c-0c68-b7e9-11ded0a7be51