Claim total
$751.47
base $93.39 · payer covered $601.17
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-09-29
- Stop
- 2020-09-29
The parties
- Patient
- patient Rochelle Hsiu Murray
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
0bad7c4e-e238-1217-025a-7a5f2560fdd0