Claim total
$324.44
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2006-09-25
- Stop
- 2006-09-25
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
000287f5-a0d8-f77b-89f2-db85f69f2c77