Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1971-06-03
- Stop
- 1971-06-03
The parties
- Patient
- patient Lynda Carissa Wiza
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
11b58047-9562-e585-93e6-8815b2f60365