Claim total
$1,417.23
base $93.39 · payer covered $1,367.23
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1994-02-23
- Stop
- 1994-02-23
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-d9f9-d58acb848048