Claim total
$631.03
base $93.39 · payer covered $581.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-01-26
- Stop
- 2024-01-26
The parties
- Patient
- patient Vivienne Cathy Torphy
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
313c7bdc-0a33-9525-885d-77e777eed99e