Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1998-11-22
- Stop
- 1998-11-22
The parties
- Patient
- patient Rosenda Wyman
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
213e5519-4c28-300e-c978-e549700c9e46