Claim total
$757.81
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1988-12-11
- Stop
- 1988-12-11
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
058279b6-7701-4823-7583-d67b349f76aa