Claim total
$714.70
base $93.39 · payer covered $571.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-04-25
- Stop
- 2022-04-25
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-fab9-c1b1549fab58