Claim total
$291.66
base $155.66 · payer covered $256.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-01-20
- Stop
- 2021-01-20
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-06a7-c426d3531084