Claim total
$830.53
base $93.39 · payer covered $153.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2005-10-06
- Stop
- 2005-10-06
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-bcaa-7cddaf9d5c16