Claim total
$5,038.15
base $155.66 · payer covered $4,988.15
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 1993-11-26
- Stop
- 1993-11-26
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-d9fb-ccc2e5418f50