Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-11-01
- Stop
- 2021-11-01
The parties
- Patient
- patient Lea Edwina Hand
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1a0b0fe5-5cd2-3c13-7595-bf086ca26bd1