Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2002-05-12
- Stop
- 2002-05-12
The parties
- Patient
- patient Clarence Curtis Johnson
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
18a704fb-0dc4-6adf-c239-549d978a0885