Claim total
$468.87
base $93.39 · payer covered $418.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-08-15
- Stop
- 2025-08-15
The parties
- Patient
- patient Chester Max Schaden
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
38643954-fade-a0d0-9331-396ae8f754d1