Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1999-07-09
- Stop
- 1999-07-09
The parties
- Patient
- patient Thaddeus Kennith Pouros
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
150d2bd4-42df-badc-5d16-14d6cbc8c688