Claim total
$751.47
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-08-15
- Stop
- 2023-08-15
The parties
- Patient
- patient Hilton Marcelino Friesen
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
069d1f4a-1b6f-6d04-bd14-00fe4d0a050d