Claim total
$11,014.50
base $93.39 · payer covered $8,811.60
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-11-23
- Stop
- 2023-11-23
The parties
- Patient
- patient Carylon Sharlene Reilly
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
0f07fc79-9416-3271-a901-7fc264461f07