Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2005-03-18
- Stop
- 2005-03-18
The parties
- Patient
- patient Arthur Virgilio Friesen
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
14033b02-afc1-a19c-286d-c3ed05025f0e