Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 1922-10-29
- Stop
- 1922-10-29
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
20bc4efb-24a4-91b5-c25c-0706984df193