Claim total
$175.99
base $93.39 · payer covered $140.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-12
- Stop
- 2017-03-12
The parties
- Patient
- patient Adella Mitchell Erdman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
37dacb37-2dca-f6a0-05e9-62656392e423