Claim total
$222.95
base $93.39 · payer covered $178.36
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-11-09
- Stop
- 2016-11-09
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-0b13-15c9e48dde4e