Claim total
$256.18
base $93.39 · payer covered $206.18
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-07-02
- Stop
- 2022-07-02
The parties
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
194500a2-6b9e-886b-6e7f-2a698aa1e079