Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2016-12-19
- Stop
- 2016-12-19
The parties
- Patient
- patient Milly Susanne Blick
- Provider
- provider Gwenn Hermann
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
31251599-7078-e241-d497-fbe47bba61a6