Claim total
$95.68
base $93.39 · payer covered $76.54
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-12-14
- Stop
- 2017-12-14
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-583b-d09bba35afb9