Claim total
$94.13
base $93.39 · payer covered $75.30
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-07-20
- Stop
- 2021-07-20
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-1f5d-08104e0f42ce