Claim total
$126.29
base $93.39 · payer covered $101.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-09
- Stop
- 2017-03-09
The parties
- Patient
- patient Elena Gislason
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
3026b8c9-32ff-f477-6036-e315c753bb6d