Claim total
$978.26
base $155.66 · payer covered $928.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complete miscarriage156073000
- Start
- 1999-01-04
- Stop
- 1999-01-04
The parties
- Patient
- patient Elinore Danyelle Streich
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
03b3068a-a726-461a-dcc3-50894ab69e04