Claim total
$127.17
base $127.17 · payer covered $77.17
The visit
- Class
- Inpatient
- Code
- 56876005
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2003-01-20
- Stop
- 2003-01-24
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Jen Labadie
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-620b-f344234f05d4