Claim total
$3,900.50
base $93.39 · payer covered $3,850.50
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-08-31
- Stop
- 2026-08-31
The parties
- Patient
- patient Jackie Stevie Bruen
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
18105727-75f2-3289-eda3-4850e91f3653