Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-06-22
- Stop
- 2022-06-22
The parties
- Patient
- patient Jay Gerardo Bernhard
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
295a8330-1c69-d856-44ab-eac4b12ef495