Claim total
$640.95
base $93.39 · payer covered $512.76
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-11-30
- Stop
- 2023-11-30
The parties
- Patient
- patient Carylon Sharlene Reilly
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
0f07fc79-9416-3271-e8da-21675f96a3f5