Claim total
$4,221.80
base $93.39 · payer covered $3,377.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-11-10
- Stop
- 2020-11-10
The parties
- Patient
- patient Ignacio Valentin Thiel
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1a3239f1-ef20-fa58-330e-75f94a495424