Claim total
$155.66
base $155.66 · payer covered $108.96
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2016-12-16
- Stop
- 2016-12-16
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-c8fc-a795a4ba8ed9