Claim total
$201.87
base $93.39 · payer covered $151.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-04-12
- Stop
- 2016-04-12
The parties
- Patient
- patient Donny Heath Legros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1a48f36b-a75c-ca40-3112-7c4ffb8e2dd8