Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2017-11-27
- Stop
- 2017-11-27
The parties
- Patient
- patient Milly Susanne Blick
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
31251599-7078-e241-ae7d-7a622eb891de