Claim total
$250.92
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2003-05-26
- Stop
- 2003-05-26
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
047697e3-dcee-86e1-f74c-8f63057742a3