Claim total
$506.10
base $93.39 · payer covered $404.88
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1998-09-28
- Stop
- 1998-09-28
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-37f2-c88a9fb8a019