Claim total
$219.95
base $93.39 · payer covered $169.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2017-09-25
- Stop
- 2017-09-25
The parties
- Patient
- patient Judy Yundt
- Provider
- provider Lazaro Schumm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
28694091-a035-e362-dbc5-d5750b367e49