Claim total
$640.69
base $93.39 · payer covered $640.69
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-04-15
- Stop
- 2023-04-16
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-4d9a-2c6711b18404