Claim total
$274.88
base $93.39 · payer covered $224.88
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-12-02
- Stop
- 2017-12-02
The parties
- Patient
- patient Breanne Pennie Sawayn
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0db4a798-0c32-fd1c-7a0c-ab22e25e90a0