Claim total
$181.10
base $93.39 · payer covered $131.10
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-07
- Stop
- 2025-06-07
The parties
- Patient
- patient Bennett Steven Wisozk
- Provider
- provider Julius Welch
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
290daca4-3a47-5c79-238d-46e9d887f212