Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1980-11-28
- Stop
- 1980-11-28
The parties
- Patient
- patient Maynard Omer Metz
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
340f3309-d5f5-88b6-1d80-34c6cb8cd3a7