Claim total
$491.55
base $93.39 · payer covered $441.55
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2020-12-22
- Stop
- 2020-12-22
The parties
- Patient
- patient Shauna Tabetha Terry
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2ad448d9-22da-e102-b2e6-45f59c37ad03