Claim total
$4,849.89
base $93.39 · payer covered $4,799.89
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-18
- Stop
- 2025-08-18
The parties
- Patient
- patient Kali Glynis Runolfsson
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
382a732d-e18f-3704-fb64-14cac0a7129a