Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1997-03-11
- Stop
- 1997-03-11
The parties
- Patient
- patient Frederick Wilford Stamm
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
359e3dbe-3eb2-f8ad-6bb3-491ff5e1de7f