Claim total
$455.49
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-02-07
- Stop
- 2020-02-07
The parties
- Provider
- provider Will Leuschke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
19bb9427-1101-2cda-f629-9af6fae64fb3