Claim total
$288.29
base $93.39 · payer covered $230.63
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2012-06-18
- Stop
- 2012-06-18
The parties
- Patient
- patient Artie Elina King
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
071aacd8-f229-0ab3-51bd-2211dff6788e