Claim total
$314.00
base $93.39 · payer covered $264.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-03-03
- Stop
- 2021-03-03
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-d264-a4452ead5a8b