Claim total
$711.28
base $93.39 · payer covered $661.28
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-13
- Stop
- 2017-10-13
The parties
- Patient
- patient Danial Hal Lang
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06067a48-9015-34d7-e24c-7fc650d0cb60