Claim total
$3,223.62
base $93.39 · payer covered $2,578.89
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-03-31
- Stop
- 2021-03-31
The parties
- Patient
- patient Adan Chas Howell
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
16136637-5d32-ce95-c821-479f99fd5c85