Claim total
$337.71
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-07-22
- Stop
- 2024-07-22
The parties
- Patient
- patient Haley Champlin
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2934bf75-9350-c6bc-9431-2ed30e5a719b