Claim total
$13,977.17
base $93.39 · payer covered $11,181.73
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1991-01-21
- Stop
- 1991-01-21
The parties
- Patient
- patient Kelly Carson Gutkowski
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
177a983f-792c-a950-ac9b-123446c71a0d