Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1994-02-01
- Stop
- 1994-02-01
The parties
- Patient
- patient Haley Champlin
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2934bf75-9350-c6bc-9cfc-f8a23fb9b651