Claim total
$728.04
base $93.39 · payer covered $678.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2026-03-06
- Stop
- 2026-03-06
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-4f8b-167e78a49074