Claim total
$1,111.97
base $93.39 · payer covered $961.97
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-06-08
- Stop
- 2011-06-08
The parties
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
010d736c-d81f-3cd7-191f-0ddfefe5fdce