Claim total
$5,562.07
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-11-27
- Stop
- 2018-11-27
The parties
- Patient
- patient Selene Dona Okuneva
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
1922bd27-5aa8-1926-3137-da71d4ee6d8e