Claim total
$251.47
base $93.39 · payer covered $216.47
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-05-11
- Stop
- 2017-05-11
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-a88f-174398e18baa