Claim total
$425.60
base $93.39 · payer covered $375.60
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-08-18
- Stop
- 2026-08-18
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-89a7-4241dfa2e185