Claim total
$3,388.09
base $93.39 · payer covered $3,338.09
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-04-03
- Stop
- 2017-04-03
The parties
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06665696-4a92-d8c7-9c8f-5cc15d3e46d9