Claim total
$3,907.61
base $93.39 · payer covered $3,757.61
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-04-17
- Stop
- 1990-04-17
The parties
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0126321a-a5af-784d-0c29-eac519d45a16