Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1996-12-31
- Stop
- 1996-12-31
The parties
- Patient
- patient Matthew Boris Donnelly
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
38ed01b8-c3a9-7dc8-fff5-106fb55924ae