Claim total
$243.59
base $93.39 · payer covered $193.59
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2019-05-29
- Stop
- 2019-05-29
The parties
- Patient
- patient Jonas Raymond Haley
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2e07b33a-27a0-451d-4f2f-944b79c95055