Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2026-05-14
- Stop
- 2026-05-14
The parties
- Patient
- patient Houston Kreiger
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
1b3014dc-52f6-3e99-dfb9-825a4c1b5055