Claim total
$229.39
base $93.39 · payer covered $179.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-01-10
- Stop
- 2023-01-10
The parties
- Patient
- patient Evangeline Kasha Schaden
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0632026e-bab4-0d77-67e0-1e98ee6c4546