Claim total
$178.24
base $93.39 · payer covered $128.24
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-09-03
- Stop
- 2022-09-03
The parties
- Patient
- patient Trenton Kirk Torphy
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2f3af410-2f66-d798-2f41-1ad1f61d1bef