Claim total
$93.39
base $93.39 · payer covered $40.34
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-08-18
- Stop
- 2020-08-18
The parties
- Patient
- patient Ronald Inga Torphy
- Provider
- provider Dusty Barrows
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
05af61d0-e78c-a60a-9f6a-9cefde57475d