Claim total
$566.96
base $155.66 · payer covered $416.96
The visit
- Class
- Ambulatory
- Code
- 170837001
- Reason
- Allergic disposition609328004
- Start
- 2016-08-23
- Stop
- 2016-08-23
The parties
- Patient
- patient Sterling Eugenio Osinski
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1ffa429d-4447-d14e-18f0-8aaee1af0953