Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1990-02-25
- Stop
- 1990-02-25
The parties
- Patient
- patient Bobby Bret Stoltenberg
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2f08bddf-ff57-70bd-b488-fad3adf0a3a4