Claim total
$5,073.97
base $93.39 · payer covered $4,059.16
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-01-20
- Stop
- 2008-01-20
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-8013-9d0994b5e6ca