Claim total
$1,425.90
base $93.39 · payer covered $1,140.71
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-03-20
- Stop
- 2011-03-20
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-8323-97cbdc83f139