Claim total
$780.93
base $93.39 · payer covered $730.93
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-03-13
- Stop
- 2021-03-13
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-5d39-5f4d59165022