Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Asthma195967001
- Start
- 2024-07-30
- Stop
- 2024-07-30
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-99d1-81c9c13873b4