Claim total
$631.25
base $93.39 · payer covered $581.25
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-06-02
- Stop
- 2026-06-02
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-f4da-a773c93b53e6