Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2012-12-13
- Stop
- 2012-12-13
The parties
- Patient
- patient Melina Vonda Mueller
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0e95b756-5579-1786-9cfa-6a8c45bfe96f