Claim total
$302.06
base $93.39 · payer covered $267.06
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-02-23
- Stop
- 2024-02-23
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
035310e6-92e0-05c1-7101-85395dc2fc88