Claim total
$10,124.19
base $93.39 · payer covered $8,099.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-09-22
- Stop
- 2016-09-22
The parties
- Patient
- patient Tamesha Lecia Wyman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
391bc040-899c-a7be-e1cc-537d7b64050d