Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-01-20
- Stop
- 2026-01-20
The parties
- Patient
- patient Chuck Ignacio Pouros
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
28b39e0c-3fe7-89ce-8abc-c3e07083b0cb