Claim total
$392.99
base $93.39 · payer covered $342.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-09-10
- Stop
- 2019-09-10
The parties
- Patient
- patient Tyesha Stracke
- Provider
- provider Nicolas Raynor
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
32352733-5e06-0dd5-ce3a-63df0981e8bb