Claim total
$1,048.64
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-09-21
- Stop
- 2011-09-21
The parties
- Patient
- patient Rigoberto Kelley Wyman
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
07ebb648-88e3-490f-794c-b273b1c5294a