Claim total
$593.68
base $93.39 · payer covered $474.94
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-05-29
- Stop
- 2020-05-29
The parties
- Patient
- patient Krystal Austin Watsica
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
18173180-66f6-5f0e-d173-a87200fa4672