Claim total
$503.41
base $93.39 · payer covered $453.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-07-29
- Stop
- 2022-07-29
The parties
- Patient
- patient Penni Swaniawski
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
34d3fbff-8793-d2f0-9479-aa3d6a2bc436