Claim total
$93.74
base $93.39 · payer covered $74.99
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-02-12
- Stop
- 2017-02-12
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-3533-14e3f3e579dc