Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1982-04-27
- Stop
- 1982-04-27
The parties
- Patient
- patient Shannon Dietrich
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
38564dd1-5505-1cf8-efc7-42918bbaf0fe