Claim total
$3,949.94
base $93.39 · payer covered $2,793.94
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-03-26
- Stop
- 2024-03-26
The parties
- Patient
- patient Stormy Tammera Schimmel
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
10c22f29-deea-9b07-eff5-578aff656055