Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2016-03-27
- Stop
- 2016-03-27
The parties
- Patient
- patient Gilma Ivy Sporer
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
342f92f5-8a6e-b6a8-49cc-310607de24f1