Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-07
- Stop
- 2021-03-07
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-5d6c-b03965799f29