Claim total
$249.59
base $93.39 · payer covered $174.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-09-18
- Stop
- 2023-09-18
The parties
- Patient
- patient Lenna Floretta Johns
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
19432449-afef-e532-e6c6-f1ed4459f332