Claim total
$452.02
base $93.39 · payer covered $402.02
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-06-15
- Stop
- 2023-06-15
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01e64c71-bb1e-2212-f4e9-fd3c6342d57e