Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1995-01-17
- Stop
- 1995-01-17
The parties
- Patient
- patient Setsuko Bayer
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2096bc61-01be-46de-e95a-f0e99d7ab089