Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2015-03-13
- Stop
- 2015-03-13
The parties
- Patient
- patient Minta Ashley Bradtke
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
30e44971-6530-f6f8-3421-76d031f698c2