Claim total
$3,591.70
base $93.39 · payer covered $2,873.36
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-01-05
- Stop
- 2022-01-05
The parties
- Patient
- patient Sammy Jast
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2c3f1706-d962-8e84-7582-aad1714d5f04