Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2012-11-15
- Stop
- 2012-11-15
The parties
- Patient
- patient Ben Ernesto Rosenbaum
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
24f70975-753d-446a-d035-58dd8d2d9396