Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1992-02-10
- Stop
- 1992-02-10
The parties
- Patient
- patient Vonda Tamra Ziemann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
37344a78-3652-b029-8d8a-16562a79127e