Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Peanut762952008
- Start
- 1984-11-15
- Stop
- 1984-11-15
The parties
- Patient
- patient Eduardo Daniel Bueno
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
21685970-efe4-1907-465e-1f70b2940a96