Claim total
$394.47
base $93.39 · payer covered $292.07
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2023-03-09
- Stop
- 2023-03-09
The parties
- Patient
- patient Gala Marcelene Hirthe
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
220f299b-95df-592e-1843-50e1fc0a4de7