Claim total
$427.82
base $93.39 · payer covered $342.25
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2022-08-04
- Stop
- 2022-08-04
The parties
- Patient
- patient Maria Dibbert
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
000287f5-a0d8-f77b-440f-d022541383ab