Claim total
$162.24
base $93.39 · payer covered $129.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-09-25
- Stop
- 2023-09-25
The parties
- Patient
- patient Mariano Green
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
28193b56-5937-c165-5929-f97ac9cbaade