Claim total
$134.51
base $93.39 · payer covered $99.51
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-04-28
- Stop
- 2018-04-28
The parties
- Patient
- patient Nicolas Don Collins
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
2e132137-5ff4-645c-d025-b3de1d9f8647