Claim total
$978.26
base $155.66 · payer covered $782.61
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2021-08-07
- Stop
- 2021-08-07
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-4f7a-af20a3076e28