Claim total
$504.69
base $93.39 · payer covered $469.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1974-06-03
- Stop
- 1974-06-04
The parties
- Patient
- patient Rodolfo Cesar Cartwright
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
1c95d9b2-6189-e9d5-4b0d-ecd73d11db7e