Claim total
$757.81
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1983-11-27
- Stop
- 1983-11-27
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
058279b6-7701-4823-a78b-1a9ca52d8257