Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2024-12-03
- Stop
- 2024-12-03
The parties
- Patient
- patient Nelda Flo Smith
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
31763af1-0d0a-afc7-97fd-cd80499a55e4