Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1994-08-19
- Stop
- 1994-08-19
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-ee1e-d31e0836cab4