Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1992-02-13
- Stop
- 1992-02-13
The parties
- Patient
- patient Karina Ziemann
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
35b353dd-402b-571a-61f3-a6ec395a608c