Claim total
$2,453.55
base $93.39 · payer covered $2,403.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Streptococcal sore throat43878008
- Start
- 2021-03-17
- Stop
- 2021-03-17
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-85b6-3dd3bca0f0d8