Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2008-03-13
- Stop
- 2008-03-13
The parties
- Patient
- patient Sterling Eugenio Osinski
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1ffa429d-4447-d14e-5516-3c6f154ebc0d