Claim total
$5,001.69
base $93.39 · payer covered $4,951.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-01-19
- Stop
- 2019-01-19
The parties
- Patient
- patient Berta Gertrudis Cummings
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1009e049-d13f-b014-0454-9339b5557e74