Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 1963-07-07
- Stop
- 1963-07-07
The parties
- Patient
- patient Lucia Eloisa Prado
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
130f657d-55b9-f148-5bf3-1f58cdd50851