Claim total
$722.80
base $93.39 · payer covered $578.24
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-02-10
- Stop
- 2022-02-10
The parties
- Patient
- patient Carylon Sharlene Reilly
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
0f07fc79-9416-3271-0635-66b3f2e0602a