Claim total
$566.96
base $155.66 · payer covered $531.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2018-02-01
- Stop
- 2018-02-01
The parties
- Patient
- patient Dominic Christian Metz
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
14ebfd5c-f9ec-ad2c-a37c-5ffb4e923c73