Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2014-08-28
- Stop
- 2014-08-28
The parties
- Patient
- patient Sammie Boehm
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
39002795-4e34-d79b-620f-0be8749eb96d