Claim total
$93.39
base $93.39 · payer covered $39.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-13
- Stop
- 2026-05-13
The parties
- Patient
- patient Craig Kurt Orn
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
095b4f34-2320-d468-949f-e47c64677758