Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-12-19
- Stop
- 2018-12-19
The parties
- Patient
- patient Kristian Cristina Carter
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
375cd3f7-adf8-2f91-fac5-fb10cadf521f