Claim total
$751.47
base $93.39 · payer covered $701.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-09-26
- Stop
- 2017-09-26
The parties
- Patient
- patient Jimmy Leland Hermiston
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
34ccec67-7080-7434-d26e-4e09ea448b79