Claim total
$93.48
base $93.39 · payer covered $58.48
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-02-05
- Stop
- 2021-02-05
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
035310e6-92e0-05c1-f8d8-0d1ae80c39ab