Claim total
$916.93
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1954-05-05
- Stop
- 1954-05-05
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03d8f92f-53db-d7af-fba1-1713df9f9704