Claim total
$699.32
base $93.39 · payer covered $649.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-09-28
- Stop
- 2020-09-28
The parties
- Patient
- patient Dirk Donny Grimes
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0bb69e69-fdc7-4885-b0a0-c4f6287f90a0