Claim total
$640.69
base $93.39 · payer covered $329.06
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2009-12-30
- Stop
- 2009-12-30
The parties
- Patient
- patient Reggie Angel Hamill
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
19b483cc-30d8-0da1-a54a-381a73b848ce