Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1970-07-30
- Stop
- 1970-07-30
The parties
- Patient
- patient Allen Turner
- Provider
- provider Vanda Champlin
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0dddf97a-d797-8ae8-0638-2c53c740d2fb