Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1975-11-18
- Stop
- 1975-11-18
The parties
- Patient
- patient Pierre Vincent Moore
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1ebd8c35-12de-073a-98ee-aec37f9a078d