Claim total
$283.70
base $93.39 · payer covered $233.70
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-10-04
- Stop
- 2019-10-04
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-7cbc-bde39048dad0