Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of ankle16114001
- Start
- 1990-02-22
- Stop
- 1990-02-22
The parties
- Patient
- patient Elbert Rod Lemke
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
039e51d1-c563-811d-ab08-1371a2fb1a94