Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-09-07
- Stop
- 2022-09-07
The parties
- Patient
- patient Eileen Nicolette Blanda
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
1e15063e-b453-6e17-0dd9-8c1d23e136c2