Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-06-09
- Stop
- 2022-06-09
The parties
- Patient
- patient Alexander Alene Hahn
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
17cf073a-0b9a-0cc7-adec-741565a8f676