Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2021-11-16
- Stop
- 2021-11-16
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-4d19-33efe0f3c4a2