Claim total
$1,099.46
base $93.39 · payer covered $1,049.46
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2004-06-23
- Stop
- 2004-06-23
The parties
- Patient
- patient Quinton Lueilwitz
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
19beb540-4cdd-68a1-7d4c-94b49aeb5025