Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1968-05-05
- Stop
- 1968-05-05
The parties
- Patient
- patient Allene Jonell Stark
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
39bdbcaa-0f4c-539e-0a97-c41280632070