Claim total
$470.84
base $93.39 · payer covered $435.84
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-05-13
- Stop
- 2018-05-13
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-638a-e3933310309e