Claim total
$99.63
base $93.39 · payer covered $79.70
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-10-02
- Stop
- 2017-10-02
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Josh Stamm
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-33f4-59f0673ec420