Claim total
$711.67
base $93.39 · payer covered $661.67
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-01
- Stop
- 2021-12-01
The parties
- Patient
- patient Cherri Mariette Brekke
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
08a12ee7-a852-94d4-6bc3-3920f35993f4