Claim total
$94.23
base $93.39 · payer covered $75.38
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2022-01-06
- Stop
- 2022-01-06
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-77b1-46858ae6a0a5