Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2007-02-28
- Stop
- 2007-02-28
The parties
- Patient
- patient Elbert Hyman Swaniawski
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
37096919-2ce6-bbeb-308e-6216ad368c80