Claim total
$3,383.79
base $93.39 · payer covered $3,333.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2021-05-07
- Stop
- 2021-05-07
The parties
- Patient
- patient Shalon Arnetta Bosco
- Provider
- provider Jaclyn Kuhic
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03f768f4-038d-f7fd-8d9e-defa0d425f3e