Claim total
$353.73
base $93.39 · payer covered $303.73
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-06
- Stop
- 2024-07-06
The parties
- Patient
- patient Jamaal Friesen
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2cd59dd2-8174-6af9-b09a-6040db0a1e63