Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1977-05-12
- Stop
- 1977-05-12
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00a2ce2f-1e05-ab20-c1ac-1a584979ec68