Claim total
$10,124.19
base $93.39 · payer covered $8,099.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-01-04
- Stop
- 2020-01-04
The parties
- Patient
- patient Gonzalo Ralph Gleichner
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
37c1f380-dd85-c971-5b20-bae20bb278f8