Claim total
$137.15
base $93.39 · payer covered $102.15
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-01-24
- Stop
- 2017-01-24
The parties
- Patient
- patient Dione Ernser
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
0bf6e6c4-0773-250a-6b3b-e003381bbabc