Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-30
- Stop
- 2022-05-30
The parties
- Patient
- patient Virgil Nona Cartwright
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2e2c7652-cf1c-40f1-0898-2e2b481737f8