Claim total
$406.37
base $93.39 · payer covered $254.28
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-20
- Stop
- 2017-03-20
The parties
- Patient
- patient Lupe Isaiah Goyette
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
0a09c8b4-1b33-f971-7ad6-5853659b4de2