Claim total
$302.44
base $93.39 · payer covered $252.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-10-07
- Stop
- 2018-10-07
The parties
- Patient
- patient Bettina Kira Schiller
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0d6a874a-279a-257b-3bb9-197e55dd9854