Claim total
$327.00
base $93.39 · payer covered $277.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1994-07-23
- Stop
- 1994-07-23
The parties
- Patient
- patient Jonathon Elroy Borer
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
13917145-8746-415a-b6a8-422a15a08c9b