Claim total
$909.62
base $93.39 · payer covered $810.94
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-06-17
- Stop
- 2016-06-17
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-8753-24c093c52ef7