Claim total
$155.66
base $155.66 · payer covered $22.86
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Asthma195967001
- Start
- 2022-06-05
- Stop
- 2022-06-05
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-b27a-ba5f4f2ce495