Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2008-03-25
- Stop
- 2008-03-25
The parties
- Patient
- patient Gilma Ivy Sporer
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
342f92f5-8a6e-b6a8-6367-b4724cb50e78