Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1959-09-27
- Stop
- 1959-09-27
The parties
- Patient
- patient Jerome Kohler
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
2feabf77-27d8-4e25-98dc-4da9b50c16a2