Claim total
$504.69
base $93.39 · payer covered $469.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2006-06-08
- Stop
- 2006-06-08
The parties
- Patient
- patient Miquel Edwardo Prosacco
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
1dfe0afc-6ebb-6230-968c-0fd6807bebc0