Claim total
$171.89
base $93.39 · payer covered $121.89
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-12-29
- Stop
- 2024-12-29
The parties
- Patient
- patient Danyell Anya Gislason
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00b8faa9-dae2-fa2d-8f34-45020e57b747