Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 2009-01-05
- Stop
- 2009-01-05
The parties
- Patient
- patient Orval Hershel Dietrich
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
1a1f128e-0964-8a74-59ca-cfc2bca7134e