Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-11-28
- Stop
- 2025-11-28
The parties
- Patient
- patient Preston Gino Ebert
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
185c39dc-d484-8161-003d-64ab2a3e5fba