Claim total
$703.97
base $93.39 · payer covered $653.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-03-12
- Stop
- 2014-03-12
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-cf98-6725f8334cf4