Claim total
$724.69
base $93.39 · payer covered $658.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-09-20
- Stop
- 2021-09-20
The parties
- Patient
- patient Karin Fredda Balistreri
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0f62f966-85f5-5e3e-aa6d-18fa4d13d63a