Claim total
$345.25
base $93.39 · payer covered $295.25
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-07
- Stop
- 2026-06-07
The parties
- Patient
- patient Dwain Colin Simonis
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0ed9a3cf-eb03-2b47-5d82-6985bc65201e