Claim total
$4,928.83
base $93.39 · payer covered $4,878.83
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-10-09
- Stop
- 2020-10-09
The parties
- Patient
- patient Louisa Hackett
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0ad40e63-c22d-73a7-4cfc-8d21e7c8df58