Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-04-14
- Stop
- 2024-04-14
The parties
- Patient
- patient Blair Myles Quigley
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
0eb5aff4-0c2a-6c13-b959-aab8b5846c95