Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2002-09-22
- Stop
- 2002-09-22
The parties
- Patient
- patient Isa Bosco
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
231aa787-d919-ab63-defd-838aa0ff1242