Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2014-05-01
- Stop
- 2014-05-01
The parties
- Patient
- patient Alpha Fahey
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0d312bb0-9f0e-a43d-3677-2d37ce598df5