Claim total
$767.25
base $93.39 · payer covered $717.25
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-12-26
- Stop
- 1990-12-26
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03eafe4d-23cd-eb61-2618-2b2f17a8163e