Claim total
$6,883.16
base $93.39 · payer covered $5,460.45
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2018-01-28
- Stop
- 2018-01-28
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-a17f-606e55d992ed