Claim total
$788.12
base $93.39 · payer covered $788.12
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-11
- Stop
- 2017-05-11
The parties
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-b3ff-9734547260b2