Claim total
$1,639.20
base $93.39 · payer covered $1,589.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2018-08-02
- Stop
- 2018-08-02
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-13ce-03ccd468b68f