Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2008-04-16
- Stop
- 2008-04-17
The parties
- Patient
- patient Santo Quentin Mueller
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
01845754-7d83-d7eb-58c5-5fa430168d57