Claim total
$504.69
base $93.39 · payer covered $454.69
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1997-05-21
- Stop
- 1997-05-21
The parties
- Patient
- patient Hunter Everett Douglas
- Provider
- provider Marcus Gerhold
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3af606c6-6636-97cc-a2b1-5821f8086b70