Claim total
$102.85
base $93.39 · payer covered $82.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2017-01-09
- Stop
- 2017-01-09
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-47d7-b35e872e4ec9