Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2014-10-28
- Stop
- 2014-10-28
The parties
- Patient
- patient Robbyn Tyesha Lynch
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fca128b-2fe3-7e2a-b078-f5045fe44033