Claim total
$3,260.23
base $93.39 · payer covered $2,608.18
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-04-20
- Stop
- 2026-04-20
The parties
- Patient
- patient Emelda Samuel King
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
38e3a34b-5947-46ac-0efb-44d47c320bf8