Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2001-10-09
- Stop
- 2001-10-09
The parties
- Patient
- patient Violet Kary Bashirian
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
332c0315-3384-9625-6c99-43e5f954fbb1