Claim total
$631.29
base $93.39 · payer covered $505.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-02
- Stop
- 2021-07-02
The parties
- Patient
- patient Felton Zachary Hyatt
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26abe078-4f7c-6455-b190-275e9624ca06