Claim total
$541.63
base $93.39 · payer covered $433.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-04-08
- Stop
- 2019-04-08
The parties
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1be7d604-e5c9-4c1e-d003-2a6d98f3fc2d