Claim total
$3,403.79
base $93.39 · payer covered $3,333.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2024-10-12
- Stop
- 2024-10-12
The parties
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
06665696-4a92-d8c7-0484-efc9d0e4fd5f