Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1986-02-19
- Stop
- 1986-02-19
The parties
- Patient
- patient Curtis Aubrey Howe
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
10d92ea2-fcd5-f0bc-8a66-6801991d3815