Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2022-07-29
- Stop
- 2022-07-30
The parties
- Patient
- patient Houston Kreiger
- Provider
- provider Gwenn Hermann
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
1b3014dc-52f6-3e99-c5cf-a1e4369aa815