Claim total
$192.43
base $93.39 · payer covered $142.43
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-12-28
- Stop
- 2018-12-28
The parties
- Patient
- patient Milly Susanne Blick
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
31251599-7078-e241-968c-f319c68be6be