Claim total
$93.50
base $93.39 · payer covered $58.50
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-11-21
- Stop
- 2019-11-21
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-ef81-d37f2baa4bc8