Claim total
$149.95
base $93.39 · payer covered $119.96
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-d5b1-fa9a83f95499