Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2001-01-02
- Stop
- 2001-01-02
The parties
- Patient
- patient Lupe Isaiah Goyette
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
0a09c8b4-1b33-f971-7c86-d9ed434e2c1a