Claim total
$4,202.31
base $93.39 · payer covered $4,099.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-11-25
- Stop
- 2017-11-25
The parties
- Patient
- patient Sandee Carma Bayer
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
36c2ae21-205d-6aeb-c09f-9280904e7acc