Claim total
$204.31
base $93.39 · payer covered $169.31
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-09-14
- Stop
- 2024-09-14
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-e743-2b5bebac2b0f