Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2024-11-27
- Stop
- 2024-11-27
The parties
- Patient
- patient Merlin Pouros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2027ce86-7c3b-fdb1-a536-e5b230b15864