Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2013-07-05
- Stop
- 2013-07-05
The parties
- Patient
- patient Bart Chase Thiel
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
104eb795-e5b0-8afd-f774-6de258c51027