Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 1965-05-09
- Stop
- 1965-05-09
The parties
- Patient
- patient Chantell Portia Daniel
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
194e887f-bbea-2bd4-737f-b8c4078afba8