Claim total
$1,592.72
base $93.39 · payer covered $1,274.16
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2007-11-04
- Stop
- 2007-11-04
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-f6a3-7ff361663d2e