Claim total
$1,374.76
base $93.39 · payer covered $1,099.79
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-04-06
- Stop
- 2008-04-06
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
058279b6-7701-4823-b90f-c99bf51120e7