Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2020-12-28
- Stop
- 2020-12-28
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
05317da0-053c-0c68-2268-c91f80ad7925