Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Tree nut442571000124108
- Start
- 1996-07-28
- Stop
- 1996-07-29
The parties
- Patient
- patient Tyesha Stracke
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
32352733-5e06-0dd5-5f97-6fced3259498