Claim total
$1,305.11
base $93.39 · payer covered $1,044.07
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2009-01-25
- Stop
- 2009-01-25
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-9b91-1c33306862e9