Claim total
$517.16
base $93.39 · payer covered $305.41
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-10-04
- Stop
- 2016-10-04
The parties
- Patient
- patient Huong Verla Wilderman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3457d972-15d5-e8c6-eab0-ab85845cc0b3