Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Gout90560007
- Start
- 1974-01-15
- Stop
- 1974-01-15
The parties
- Patient
- patient Vance Nick Hudson
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d31b05f-e99a-3ac8-8d43-775cf8012e98