Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2019-09-11
- Stop
- 2019-09-12
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Gregoria Marvin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-9070-82c5bcae1f7f