Claim total
$1,118.73
base $93.39 · payer covered $1,068.73
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 2023-06-03
- Stop
- 2023-06-03
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Hong Hand
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-0664-7f8fbbf7323c