Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2006-07-12
- Stop
- 2006-07-12
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1569b433-cb14-321e-9b60-960db30405f3