Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-09-18
- Stop
- 2017-09-18
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-5fe8-a763b6b33270