Claim total
$3,900.30
base $93.39 · payer covered $3,750.30
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2004-01-08
- Stop
- 2004-01-08
The parties
- Patient
- patient Delbert Steuber
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
23b57b91-5135-9e20-af67-6d512ce37049