Claim total
$751.47
base $93.39 · payer covered $716.47
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-05-16
- Stop
- 2022-05-16
The parties
- Patient
- patient Chester Max Schaden
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
38643954-fade-a0d0-1f23-a769fb58c593