Claim total
$380.96
base $93.39 · payer covered $345.96
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-12-09
- Stop
- 2021-12-09
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-0ead-19c788d8293c