Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1990-04-11
- Stop
- 1990-04-11
The parties
- Patient
- patient Dung Letha Wiegand
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
375938f9-6f2b-c55d-93cd-4e9898b7b82f