Claim total
$93.55
base $93.39 · payer covered $74.84
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2019-01-21
- Stop
- 2019-01-21
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-83c5-1de6623e6b76