Claim total
$751.47
base $93.39 · payer covered $450.88
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-06-24
- Stop
- 2021-06-24
The parties
- Patient
- patient Marvin Freddie Fisher
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
2fabcc2d-ad4a-b3ba-19e6-214d83d536bf