Claim total
$915.68
base $93.39 · payer covered $865.68
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-05-20
- Stop
- 2026-05-20
The parties
- Patient
- patient Craig Kurt Orn
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
095b4f34-2320-d468-7380-e015fc55968e