Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 1959-06-14
- Stop
- 1959-06-14
The parties
- Patient
- patient Katie Glynis Lang
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
3651568f-224f-59a6-e694-d3a3e724b534