Claim total
$1,041.33
base $93.39 · payer covered $1,006.33
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-06-05
- Stop
- 2018-06-05
The parties
- Patient
- patient Suzi Sydney Robel
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
0804c552-c9d6-65d3-c6e4-b98c4f2babf7