Claim total
$149.65
base $93.39 · payer covered $119.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-05-30
- Stop
- 2023-05-30
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-0e48-9a2ecb39460f