Claim total
$8,630.05
base $93.39 · payer covered $6,904.04
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-07-13
- Stop
- 2021-07-13
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-14d2-e8ae4dcd9abc