Claim total
$1,655.18
base $93.39 · payer covered $1,620.18
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-05-22
- Stop
- 2019-05-22
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-5abc-b1afe34aeabe