Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1961-05-29
- Stop
- 1961-05-29
The parties
- Patient
- patient Selene Dona Okuneva
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1922bd27-5aa8-1926-fe97-3a2e7f108f42