Claim total
$3,223.62
base $93.39 · payer covered $1,691.97
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-23
- Stop
- 2021-12-23
The parties
- Patient
- patient Del Lueilwitz
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
1591acd8-0c3e-6a58-a76a-5bbf645f0688