Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Gout90560007
- Start
- 1975-03-17
- Stop
- 1975-03-17
The parties
- Patient
- patient Vito Nolan Bruen
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
280b537b-944a-b81c-4dd5-84d376166f23