Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2016-12-05
- Stop
- 2016-12-05
The parties
- Patient
- patient Arthur Gerri Kirlin
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0e2eed92-a880-4d53-56b2-6a561e1035be