Claim total
$504.69
base $93.39 · payer covered $158.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2024-09-03
- Stop
- 2024-09-03
The parties
- Patient
- patient Bob Bobbie Gutmann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
305f3cca-8b85-16ec-38bf-729bc001abb7