Claim total
$10,124.19
base $93.39 · payer covered $4,602.94
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-06-25
- Stop
- 2017-06-25
The parties
- Patient
- patient Arminda Casandra Willms
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0df65c82-ce35-829a-faad-f4de7dbbd518