Claim total
$1,169.11
base $93.39 · payer covered $935.27
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2007-10-07
- Stop
- 2007-10-07
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-b587-e70be59a6d9f