Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1979-11-02
- Stop
- 1979-11-02
The parties
- Patient
- patient Bethel Rossana Hoppe
- Provider
- provider Madalyn Konopelski
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
2294f68d-9515-cbd5-1862-9281c0660b01