Claim total
$377.85
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-27
- Stop
- 2022-05-27
The parties
- Patient
- patient Alline Tilda Daugherty
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
169ee930-05cf-aa0a-71ae-868ff345187e