Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Inpatient
- Code
- 56876005
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2017-12-17
- Stop
- 2017-12-23
The parties
- Patient
- patient Jon Lavern Baumbach
- Provider
- provider Jen Labadie
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
033f4a7e-c2bc-1f12-27a9-ea0e132288aa