Claim total
$1,285.02
base $93.39 · payer covered $1,028.02
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1981-06-22
- Stop
- 1981-06-22
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-f614-bfb8e33d6910