Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-03-17
- Stop
- 2021-03-17
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03d8f92f-53db-d7af-0ae9-99240fb4451d