Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2002-07-22
- Stop
- 2002-07-22
The parties
- Patient
- patient Isiah Kurtis Connelly
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
3b24d024-a466-fe09-39ce-2de8369125f1