Claim total
$16,347.76
base $155.66 · payer covered $16,312.76
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2022-10-30
- Stop
- 2022-10-30
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-f6a3-bfca473ef6ac