Claim total
$111.60
base $93.39 · payer covered $89.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-01-09
- Stop
- 2023-01-09
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-0a25-14dcf564df31