Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2001-11-07
- Stop
- 2001-11-07
The parties
- Patient
- patient Boyce Octavio Klocko
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1f95e0d2-c2aa-d203-862d-1b921e633dca