Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2021-08-28
- Stop
- 2021-08-28
The parties
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1479de26-4fb5-ac99-c7ca-d03d6be350f1