Claim total
$227.30
base $93.39 · payer covered $177.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 1979-11-05
- Stop
- 1979-11-05
The parties
- Patient
- patient Isreal Eliseo Weissnat
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39385208-9399-e36e-b22b-d5717ada6a83