Claim total
$726.26
base $93.39 · payer covered $676.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-04-13
- Stop
- 2021-04-13
The parties
- Patient
- patient Kristian Cristina Carter
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
375cd3f7-adf8-2f91-9891-74329381d774