Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1994-04-15
- Stop
- 1994-04-15
The parties
- Patient
- patient Fernando Wm Schulist
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
0ba4835e-ecc9-876f-55f3-c6e19315bddb