Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2020-07-23
- Stop
- 2020-07-23
The parties
- Patient
- patient Lazaro Leonardo Kiehn
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
122de5c8-5591-c6a6-eda4-c8905f92ebb7