Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2007-10-27
- Stop
- 2007-10-27
The parties
- Patient
- patient Chester Max Schaden
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
38643954-fade-a0d0-0bad-40265301fa08