Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2018-05-17
- Stop
- 2018-05-17
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-f86d-b5fc2eb1c632