Claim total
$100.15
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1994-10-29
- Stop
- 1994-10-29
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Josh Stamm
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
00a2ce2f-1e05-ab20-cec3-010d923075ee