Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2006-05-21
- Stop
- 2006-05-21
The parties
- Patient
- patient Frederick Wilford Stamm
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
359e3dbe-3eb2-f8ad-1e62-0ee8398b0be6