Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2002-08-20
- Stop
- 2002-08-20
The parties
- Patient
- patient Miquel Edwardo Prosacco
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1dfe0afc-6ebb-6230-6ce9-ecb1d08c8670