Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-02-08
- Stop
- 2017-02-08
The parties
- Patient
- patient Vito Glenn Medhurst
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
26ddb759-380a-cffb-8a08-6bcfb97d5f54