Claim total
$93.62
base $93.39 · payer covered $43.62
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-01-19
- Stop
- 2018-01-19
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-2e27-a5afb80e27ef