Claim total
$640.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1976-03-11
- Stop
- 1976-03-11
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
04f53306-ad14-544b-70be-72945e1ae672