Claim total
$166.75
base $93.39 · payer covered $133.40
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2010-12-20
- Stop
- 2010-12-20
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-e54d-514f8b22f3e6