Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2004-07-13
- Stop
- 2004-07-13
The parties
- Patient
- patient Errol Delmar Lockman
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
09a2ab02-bbcf-9b47-f214-838b56010aff