Claim total
$5,425.35
base $93.39 · payer covered $5,375.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-10-07
- Stop
- 2018-10-07
The parties
- Patient
- patient Adah Kertzmann
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
342e9f11-a9b7-436c-f52a-c75011198009