Claim total
$8,551.19
base $93.39 · payer covered $8,501.19
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-06-16
- Stop
- 2020-06-16
The parties
- Patient
- patient Kip Denver McKenzie
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2503f21b-df26-a5c8-19b1-f7c0e6c0fd6d