Claim total
$3,502.63
base $93.39 · payer covered $3,467.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1985-11-12
- Stop
- 1985-11-12
The parties
- Patient
- patient Zachery Keenan Berge
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
29247b3f-f26a-3ab7-3263-4dbc0c635ada