Claim total
$772.40
base $93.39 · payer covered $722.40
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1972-03-19
- Stop
- 1972-03-19
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
058279b6-7701-4823-76c7-4bd174cc1131