Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2007-06-03
- Stop
- 2007-06-03
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-a5c6-5df512d4ceff