Claim total
$613.37
base $93.39 · payer covered $563.37
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-05-01
- Stop
- 2024-05-01
The parties
- Patient
- patient Megan Quinn Hoppe
- Provider
- provider Linwood Schimmel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39c37fd3-9ae6-8a7f-6a1d-9caee73da27c