Claim total
$157.11
base $93.83 · payer covered $84.28
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Bullet wound262574004
- Start
- 1982-06-12
- Stop
- 1982-06-12
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Vicente McClure
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-b69a-bf167fefcdcc