Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2025-06-04
- Stop
- 2025-06-04
The parties
- Patient
- patient Roderick Lloyd Gottlieb
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1bef94fd-46c7-91d1-c2de-165d78b47e5d