Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-11
- Stop
- 2026-06-11
The parties
- Patient
- patient Pablo Adán Ayala
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
13927fe1-f295-7769-da69-1d322a0e9d20