Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2005-09-20
- Stop
- 2005-09-20
The parties
- Patient
- patient Dominic Christian Metz
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
14ebfd5c-f9ec-ad2c-d216-d8aa560ebd4d