Claim total
$130.59
base $127.17 · payer covered $80.59
The visit
- Class
- Inpatient
- Code
- 32485007
- Reason
- —
- Start
- 2020-08-09
- Stop
- 2020-08-10
The parties
- Patient
- patient Jon Lavern Baumbach
- Provider
- provider Jen Labadie
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
033f4a7e-c2bc-1f12-1b88-0fcd2ec92857