Claim total
$559.16
base $93.39 · payer covered $447.33
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-09-07
- Stop
- 2024-09-07
The parties
- Patient
- patient Luana Ilana Effertz
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
086bd61a-213a-915b-01e4-1ec82346ff2b