Claim total
$640.69
base $93.39 · payer covered $326.15
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1991-08-21
- Stop
- 1991-08-21
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-2097-15cfd181837f