Claim total
$808.96
base $93.39 · payer covered $647.15
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-11-02
- Stop
- 2008-11-02
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-4c39-0f8e6a53c772