Claim total
$378.54
base $93.39 · payer covered $313.14
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-11-06
- Stop
- 2025-11-06
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-82f2-aa9d0bec8fdf