Claim total
$185.46
base $93.39 · payer covered $83.06
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-12
- Stop
- 2021-12-12
The parties
- Patient
- patient Demarcus Dicki
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0a62e53f-e649-0fe9-f460-4dc804910bca