Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of clavicle58150001
- Start
- 2019-08-31
- Stop
- 2019-08-31
The parties
- Patient
- patient Evangeline Kasha Schaden
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0632026e-bab4-0d77-4f4f-e456f05756cb