Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-06-05
- Stop
- 2025-06-05
The parties
- Patient
- patient Tyrone Wallace Hahn
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
252105b1-003b-bd59-e889-3a41c3cfde30