Claim total
$842.99
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-04-07
- Stop
- 2024-04-07
The parties
- Patient
- patient Mickey Goldner
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
39934531-f753-1291-0ae8-bc548d528aaa