Claim total
$2,862.87
base $93.39 · payer covered $2,812.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-08-23
- Stop
- 2021-08-23
The parties
- Patient
- patient Adah Kertzmann
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
342e9f11-a9b7-436c-ef0b-f60b1b2c5224