Claim total
$1,549.57
base $93.39 · payer covered $1,499.57
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2015-06-13
- Stop
- 2015-06-13
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00decd7e-554a-447f-e3ed-7627e77f38b9