Claim total
$515.12
base $93.39 · payer covered $465.12
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-08-23
- Stop
- 2019-08-23
The parties
- Patient
- patient Amiee Maurine McClure
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2702dda1-ef74-3a2a-3a88-e636bfad0342