Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1978-12-14
- Stop
- 1978-12-14
The parties
- Patient
- patient Rigoberto Kelley Wyman
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
07ebb648-88e3-490f-e92b-7a870238d4c6