Claim total
$29,424.79
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 32485007
- Start
- 1995-07-12
- Stop
- 1995-07-12
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03d8f92f-53db-d7af-5f20-e8d082ba9bae