Claim total
$1,042.55
base $93.39 · payer covered $834.03
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2009-06-28
- Stop
- 2009-06-28
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-8249-21ef8ae1f1a0