Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2008-09-03
- Stop
- 2008-09-03
The parties
- Patient
- patient Jesse Lucas Rowe
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
16996bed-1187-99fd-67e8-1140d545b8c0