Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 56876005
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2021-01-24
- Stop
- 2021-02-06
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Noe Jerde
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-fa02-d8c840948f38