Claim total
$96.65
base $93.39 · payer covered $77.32
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2026-01-26
- Stop
- 2026-01-26
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-1d91-15f327b4a7c5