Claim total
$567.97
base $93.39 · payer covered $517.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-12-08
- Stop
- 2016-12-08
The parties
- Patient
- patient Santa Antonina Bernier
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
051f1153-ae45-1425-1a48-4dfd6d5615dd