Claim total
$911.86
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2003-07-29
- Stop
- 2003-07-29
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Cassie Nicolas
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-6e9a-c4c41b5055be