Claim total
$13,540.20
base $155.66 · payer covered $13,505.20
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2023-09-28
- Stop
- 2023-09-28
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-20c8-a980d4f58a04