Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1967-06-05
- Stop
- 1967-06-05
The parties
- Patient
- patient Eileen Nicolette Blanda
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1e15063e-b453-6e17-8ff2-e902f121d8c1