Claim total
$556.07
base $93.39 · payer covered $521.07
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-06-03
- Stop
- 2021-06-03
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-4dd0-75a92890164e