Claim total
$5,356.80
base $93.39 · payer covered $5,306.80
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2024-07-12
- Stop
- 2024-07-12
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-8fd3-3b34363efd9a