Claim total
$1,602.31
base $93.39 · payer covered $1,452.31
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1989-08-03
- Stop
- 1989-08-03
The parties
- Patient
- patient Dwain Ruecker
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0887d860-7552-81d7-82d2-8728617144b8