Claim total
$3,883.80
base $155.66 · payer covered $3,107.04
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-08-15
- Stop
- 2018-08-15
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-a57f-db888f28bc1d