Claim total
$915.99
base $93.39 · payer covered $865.99
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Adolescent idiopathic scoliosis203646004
- Start
- 1997-01-23
- Stop
- 1997-01-23
The parties
- Patient
- patient Adrian Grady O'Keefe
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00a9bdc8-6b4d-5df7-ebdf-464729f10c70