Claim total
$146.22
base $93.39 · payer covered $96.22
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-10
- Stop
- 2016-12-10
The parties
- Patient
- patient Dane Cyrus Prosacco
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
08d84e2a-24fc-df43-69c9-2e1e59621935