Claim total
$640.69
base $93.39 · payer covered $98.59
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-10-09
- Stop
- 2023-10-09
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
05317da0-053c-0c68-c1a0-6752c880df11