Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2015-03-13
- Stop
- 2015-03-13
The parties
- Patient
- patient Minta Ashley Bradtke
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
30e44971-6530-f6f8-11a3-84f6abecb838