Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2024-11-04
- Stop
- 2024-11-04
The parties
- Patient
- patient Giuseppina Trudi Howell
- Provider
- provider Lazaro Schumm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
11d2629f-60c9-2ef0-640d-a47b817616f1