Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Major depressive disorder370143000
- Start
- 1960-05-14
- Stop
- 1960-05-14
The parties
- Patient
- patient Francisco Barton Beahan
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
11955095-c3cb-a03d-ee2f-c95dde4e3ea1