Claim total
$519.30
base $93.39 · payer covered $469.30
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-04-03
- Stop
- 2025-04-03
The parties
- Patient
- patient Sumiko Lona Stroman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
08093f1f-dc66-53ed-8dd6-c8fdafe74a4a