Claim total
$319.00
base $93.39 · payer covered $255.20
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2011-12-12
- Stop
- 2011-12-12
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-c626-82ff655ca307