Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 1951-04-24
- Stop
- 1951-04-24
The parties
- Patient
- patient Debi Ortiz
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0fd7f427-d82f-9324-556f-edca48b7ba90