Claim total
$221.20
base $93.39 · payer covered $171.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-04-09
- Stop
- 2023-04-09
The parties
- Patient
- patient Lea Edwina Hand
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1a0b0fe5-5cd2-3c13-2565-4fa84df74a39