Claim total
$239.96
base $93.39 · payer covered $189.96
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-09-08
- Stop
- 2021-09-08
The parties
- Patient
- patient Reda Vivien Kozey
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
1bb9b894-b2d6-2bc8-859b-f4dd0f9ba63e