Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-12-17
- Stop
- 2018-12-17
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-6ee6-b689cf5802cc