Claim total
$411.52
base $93.39 · payer covered $361.52
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-11-24
- Stop
- 2016-11-24
The parties
- Patient
- patient Dwain Ruecker
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0887d860-7552-81d7-cf38-114339ac6416