Claim total
$10,084.67
base $93.39 · payer covered $10,034.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-02-28
- Stop
- 2017-02-28
The parties
- Patient
- patient Kip Denver McKenzie
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2503f21b-df26-a5c8-7c75-dcec0803b89c