Claim total
$130.13
base $93.39 · payer covered $80.13
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1999-06-08
- Stop
- 1999-06-08
The parties
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0126321a-a5af-784d-3722-76bacaebe5a8