Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-30
- Stop
- 2024-07-30
The parties
- Patient
- patient Tyesha Stracke
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
32352733-5e06-0dd5-5bc9-24157d2720a3