Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2021-04-14
- Stop
- 2021-04-14
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
035310e6-92e0-05c1-d861-efaf3bef5c7d