Claim total
$7,530.59
base $155.66 · payer covered $7,480.59
The visit
- Class
- Ambulatory
- Code
- 371883000
- Reason
- Allergic disposition609328004
- Start
- 2018-06-13
- Stop
- 2018-06-13
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
046c8377-6cc1-c8f9-0df6-d5030b057d1b