Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2007-11-23
- Stop
- 2007-11-23
The parties
- Patient
- patient Alvin Raymond Wilderman
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2d01a944-5d28-8528-7536-f2180dc9b9f2