Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Essential hypertension59621000
- Start
- 2024-05-06
- Stop
- 2024-05-06
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-322f-6d960b637853