Claim total
$232.16
base $93.39 · payer covered $182.16
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-09-20
- Stop
- 2024-09-20
The parties
- Patient
- patient Belva Nadene Kuphal
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0430ce7c-cb64-da75-885b-9a641eb89dcb