Claim total
$1,515.82
base $155.66 · payer covered $1,465.82
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2019-07-13
- Stop
- 2019-07-13
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-0ab5-1e486b27437f