Claim total
$12,614.31
base $93.39 · payer covered $12,564.31
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-06-07
- Stop
- 2020-06-07
The parties
- Patient
- patient Juliane Schmitt
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2848461b-ec89-4e68-4445-ec6a49b29dff