Claim total
$910.86
base $93.39 · payer covered $546.52
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2005-12-04
- Stop
- 2005-12-04
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Cassie Nicolas
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
05cb9ca9-5092-9c9d-3d6c-53d3057ae6a3