Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2000-09-09
- Stop
- 2000-09-09
The parties
- Patient
- patient Matthew Boris Donnelly
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
38ed01b8-c3a9-7dc8-430e-d52031d81b6b