Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1973-06-12
- Stop
- 1973-06-12
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
00a2ce2f-1e05-ab20-131e-32df8993b2e9