Claim total
$23,136.10
base $155.66 · payer covered $23,136.10
The visit
- Class
- Ambulatory
- Code
- 32485007
- Start
- 2007-12-08
- Stop
- 2007-12-08
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
047ee4ec-c50b-b504-1caf-3f3e07ce9f30