Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-05-10
- Stop
- 2017-05-10
The parties
- Patient
- patient Frederick Wilford Stamm
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
359e3dbe-3eb2-f8ad-d544-6744a5a0f702