Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of rib33737001
- Start
- 2020-11-01
- Stop
- 2020-11-01
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-07d0-3a812106f20e